Offices of the Insurance Commissioner

State of West Virginia

Official Website: https://www.wvinsurance.gov/

Forms & Documents

Browse all Offices of the Insurance Commissioner government forms

41 - 60 of 96 forms

Form Title Topics
Fraternal Benefit Society - Licensing Instructions
Fraternal Benefit Society - Renewal Instructions
HMO Annual/Quarterly County Enrollment Worksheet
HMO Application for License (Form A-10)
HMO Product Mix Report
Low Back Examination
Managing General Agent License Application Form MGA-1
Managing General Agent License Application Form MGA-3
Managing General Agent License Instructions
Managing General Agent Renewal Application Form MGA-4
Managing General Agent Renewal Instructions
NAIC Risk Retention Reporting Form
NAIC Uniform Application for TPA’s
Non-Resident Agent Application
Notification of a CGA (CGA-1)
Physician's Report of Occupational Pneumoconiosis [OIC-WC-30P] - Includes ILO Form
Prepaid Limited Health Service Org Application and Checklist (PLHSO-1)
Prepaid Limited Health Service Org Fidelity Worksheet (PLHSO-3)
Prepaid Limited Health Service Org Hold Harmless Language
Prepaid Limited Health Service Org Remittance Form (PLHSO-2)

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